【摘要】：目的：本文通過分析劉建秋教授治療哮喘慢性持續(xù)期患者的用藥規(guī)律,初步總結(jié)其治療哮喘慢性持續(xù)期的臨證經(jīng)驗(yàn),為進(jìn)一步繼承和研究劉教授學(xué)術(shù)脈絡(luò)提供參考。方法：收集2014年1月1日-2016年1月1日經(jīng)劉教授門診診治哮喘慢性持續(xù)期患者的病案,將病案信息錄入Excel,建立病案數(shù)據(jù)庫,對處方中藥物的性味歸經(jīng)類別作頻數(shù)統(tǒng)計(jì),使用SPSS19.0軟件對核心藥物聚類分析,總結(jié)劉教授的用藥規(guī)律,概括其中具有可推廣性的學(xué)術(shù)思想及臨證經(jīng)驗(yàn)。結(jié)果：共收集86則處方,共使用中藥82味。其中頻數(shù)≥5次的藥物有47種,總計(jì)1070藥次。常用藥物性味歸經(jīng)統(tǒng)計(jì)：藥性以溫、平、微溫為主,頻率分別為36.64%、19.63%、16.45%；藥味以甘、辛、苦為主,分別占48.32%、42.71%、35.33%；藥物歸經(jīng)前五位為肺、脾、胃、肝、腎經(jīng)。藥效歸類統(tǒng)計(jì)：化痰止咳平喘藥比例最高,占30.09%,補(bǔ)虛藥占28.79%,兩類藥合計(jì)占58.88%,使用頻率超半,其余依次為解表藥、平肝息風(fēng)藥、收澀藥、清熱藥、活血化瘀藥、消食藥、安神藥、理氣藥、利水滲濕藥。核心藥物統(tǒng)計(jì)：使用頻率30%的中藥共19種,依次為炙麻黃、半夏、苦杏仁、五味子、枇杷葉、太子參、補(bǔ)骨脂、白術(shù)、炙甘草、黃芪、地龍、淫羊藿、萊菔子、蘇子、北沙參、白前、知母、蟬蛻、瓜蔞。結(jié)論：1.劉建秋教授治療哮喘慢性持續(xù)期用藥的用藥規(guī)律：溫、平、微溫,甘、辛、苦；肺、脾、胃、肝、腎經(jīng)是主要性味歸經(jīng)；炙麻黃、清半夏、苦杏仁、五味子、枇杷葉、太子參、補(bǔ)骨脂、白術(shù)、炙甘草、黃芪、地龍、淫羊藿、萊菔子、蘇子、北沙參、白前、知母、蟬蛻、瓜蔞是核心藥物；宣降并用、化痰平喘、補(bǔ)益脾腎、息風(fēng)通絡(luò)是核心用藥法則。2.劉建秋教授辨治哮喘慢性持續(xù)期的以肺脾腎陽虛,宿痰伏肺為病機(jī)；外風(fēng)、飲食觸發(fā)為誘因；痰瘀膠著為復(fù)雜要素。3.劉建秋教授治療哮喘慢性持續(xù)期的基本原則：溫陽益氣,化痰平喘。注重溫補(bǔ)肺脾腎之陽以益氣固表,治痰之法包括溫化痰飲、溫清并用、行氣消痰、化瘀祛痰。
[Abstract]:Aim: to summarize the clinical experience of professor Liu Jianqiu in the treatment of chronic duration of asthma by analyzing the rule of medication used by professor Liu Jianqiu in the treatment of chronic duration of asthma, so as to provide a reference for further inheriting and studying professor Liu's academic context. Methods: from January 1, 2014 to January 1, 2016, the medical records of patients with chronic asthma during the period from January 1, 2014 to January 1, 2016 were collected. The information of the medical records was entered into Excel, to establish a database of medical records, and the frequency of the classification of the sexual taste of drugs in the prescription was counted. The cluster analysis of core drugs with SPSS19.0 software was used to summarize Professor Liu's drug use rules, including the generalization of academic ideas and clinical experience. Results: 86 prescriptions were collected and 82 herbs were used. There were 47 kinds of drugs with frequency 鈮，

本文編號：2452834